RU2556610C1 - Method for eliminating deviated septum - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method involves manual action on a nasal dorsum in the form of 20-25 rhythmic pressures at a force of 8-10 kg. The downright forward efforts are applied at an angle of 45 degrees to the horizontal plane. That is followed by 15-20 rhythmic squeezes of the nasal sides and frontal processes of the maxilla at a force of 6-8 kg and 15-20 smooth-out motions on the nasal sides.

EFFECT: effective elimination regardless the prescription of the suffered injury and avoided necessity to use surgical intervention.

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Description

The invention relates to the field of medicine, namely manual therapy and otorhinolaryngology.

A known method of reposition and fixation of the cartilage of the nasal septum during its dislocation with external traumatic deformity of the nose (patent No. 2497470, RU, class А61В 17/24), which consists in the fact that after surgical access, manual reposition of the nasal bone pyramid with simultaneous reposition of the nasal septa by means of miscellaneous tension of the threads fixed on the upper and lower edges of the mobilized quadrangular cartilage.

The disadvantage of this method is the rather long duration of operations, significant blood loss, the need for anesthesia and high-tech tools.

A known method of external reposition of a curved septum of the nose (Multivolume guide to otorhinolaryngology. Edited by A.G. Likhachev. M: Medgiz, 1963, p. 159), taken as a prototype, consisting in the fact that under local anesthesia an external reduction of bone is performed fragments by placing the thumbs on the superior fragment, and the remaining fingers of both hands clasp the patient’s face and, with strong pressure, move the fragment to the right side.

The disadvantage of this method is that it is not effective enough, since it can only be used in the first 5-7 days after the injury. In addition, the method is quite painful and requires anesthesia.

The objective of the claimed invention is to increase the efficiency of the method, reduce the morbidity and simplification.

This problem is solved in that according to the method for eliminating the curvature of the nasal septum, including manual action on the nasal bridge, the nasal bridge is affected by pressing rhythmic movements with a force of 8-10 kg, 20-25 times, applying upward and downward forces at an angle of 45 degrees in relation to the horizontal plane, then they act with rhythmic compressive movements with a force of 6-8 kg, 15-20 times on the lateral surfaces of the nasal bone and on the frontal processes of the upper jaw and carry out 15-20 smoothing movements on the lateral surfaces spine of the nasal bone.

Using this method will improve its effectiveness, by the possibility of carrying out the procedure, regardless of the limitation period of the injury and eliminating the need for surgical intervention. In addition, the claimed method does not require the use of anesthesia, the use of expensive materials of instruments and devices.

The invention is illustrated by figures, which depict:

FIG. 1 - effect on the back of the nose;

FIG. 2 - impact on the lateral surfaces of the nasal bone and on the frontal processes of the upper jaw;

FIG. 3 - the direction of smoothing movements on the lateral surfaces of the nasal bone.

The method is as follows.

The index, middle, nameless and little fingers in a bent state are located by the pads of the distal phalanges on the zygomatic bone and zygomatic arch. The thumb of the left hand with the distal phalanx is placed with a small pillow on the tubercle of the back of the nose, forming a 45 degree angle with the sagittal plane of the skull. A small pillow of the distal phalanx of the thumb of the right hand rests on the nail plate of the distal phalanx of the major of the left hand at an angle of 100 degrees. Then, with light pressing rhythmic movements with a force of 8-10 kg, they act 20–25 times on the back of the nose, exerting efforts from top to bottom forward at an angle of 45 degrees with respect to the horizontal plane (Fig. 1).

Go to the side of the patient. The index finger and thumb of the right hand are placed on the lateral surface of the nasal bone by the pads of the distal phalanges, and fingers are placed in the frontal plane. The index and thumb of the left hand are placed on the frontal processes of the upper jaw by the pads of the distal phalanges, the fingers are placed in the horizontal plane, and they form a 90-degree angle with the index and thumb of the right hand in the sagittal plane. Then they act with light rhythmic compressive movements with a force of 6-8 kg, 15-20 times with the fingers of each hand in the direction to each other in a horizontal plane (Fig. 2).

Without changing position, standing on the side of the patient, the index finger and thumb of the right hand are placed on the lateral surface of the nasal bone with the pads of the distal phalanges, and the fingers are placed in the frontal plane. Make 15-20 smoothing movements (Fig. 3).

Example 1. Patient V., 20 years old, student, with a diagnosis of curvature of the nasal septum with severe impairment of nasal breathing. He has a history of nose injury at the age of 7 (falling from a swing). Clinical diagnosis: curvature of the nasal septum. After the treatment, nasal breathing fully recovered after 3 sessions. The surface of the nasal septum is flat, nasal breathing is free.

Example 2. Patient A, 45 years old, came 10.09.2013, with complaints of shortness of breath through the nose.

He considered himself sick after a nose injury in April 2003. On examination: the nasal septum is C-shaped, the nasal concha swollen, nasal breathing difficult on both sides, more on the right.

Clinical diagnosis: curvature of the nasal septum.

After 4 sessions, the nasal septum is in the midline, nasal breathing is free.

Claims (1)

A method for eliminating the curvature of the nasal septum, including the manual action on the nasal bridge, characterized in that the nasal bridge is affected by pressing rhythmic movements with a force of 8-10 kg, 20-25 times, applying upward and downward forces at an angle of 45 degrees relative to horizontal plane, then act with rhythmic compressive movements with a force of 6-8 kg, 15-20 times on the lateral surfaces of the nasal bone and on the frontal processes of the upper jaw and carry out 15-20 smoothing movements on the lateral surfaces of the nasal bone.

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